Individual
AMANDA KOLVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT-17-46352
Contact information
Practice address
339 RUTH CIR, BOLINGBROOK, IL 60440-1874
(630) 390-8762
Mailing address
339 RUTH CIR, BOLINGBROOK, IL 60440-1874
(630) 390-8762
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-46352
IL
Other
Enumeration date
05/19/2018
Last updated
05/19/2018
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